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논문 기본 정보

자료유형
학술저널
저자정보
Guangyu Chen (The General Hospital of Western Theater Command) Long Cheng (The General Hospital of Western Theater Command) Liye Liu (The General Hospital of Western Theater Command) Guode Luo (The General Hospital of Western Theater Command) Ming Li (Western Theater Command Center for Disease Control and Prevention) Yi Wen (The General Hospital of Western Theater Command) Tao Wang (The General Hospital of Western Theater Command) Yongkuan Cao (The General Hospital of Western Theater Command)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.103 No.2
발행연도
2022.8
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81 - 86 (6page)

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초록· 키워드

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Purpose: Our study aimed to make a propensity score matching (PSM) analysis on the clinical application of gastric-jejunum pouch anastomosis (GJPA) and Billroth-II anastomosis after distal gastrectomy.
Methods: We collected clinical data from 249 patients who received distal gastrectomy from January 2016 to July 2020. According to the reconstruction method used, all patients were divided into the Billroth-II group and the GJPA group. Clinical data and operation complications were analyzed.
Results: The clinical characteristics of the 2 groups were comparable after PSM. In the Billroth-II group, the incidence rate of delayed gastric emptying was higher than that in the GJPA group. Fewer patients suffered reflux gastritis in the GJPA group. The RGB (residue, gastritis, and bile) scores related to the severity of bile reflux into the remnant stomach, gastritis, and residue were higher in the Billroth-II group. Postoperative nutritional status and Visick classification demonstrated that postoperative subjective feelings in the GJPA group were improved significantly.
Conclusion: The application of GJPA in reconstruction after distal gastrectomy is safe, economical, and reliable. This reconstruction improved the quality of life of patients. It is worth popularizing widely in clinical settings.

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INTRODUCTION
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